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Hypertension is one of the cardiovascular disease, defined by World Health Organization as blood pressure ≥140/90 mmHg. The high prevalence of hypertension has always been a problem globally. This disease could cause many complications, including cerebrovascular disease, and often associated with cognitive impairment. This study is done to find out the relation between uncontrolled blood pressure and cognitive impairment in geriatric people. This study is an observational analytic study with cross-sectional design. Samples are geriatric people with minimum of 60 years of age in Sasana Tresna Werda RIA Pembangunan in January 2019. Sample was taken with total sampling method. The hypertension criteria in study is previous history of hypertension or blood pressure ≥140/90 mmHg. MMSE score interpretations are: (1) score of 25-30: normal cognitive function; (2) score of <21: indication of mild to severe cognitive impairment. Statistical analysis used in the study are Pearson Chi Square with Yates Correction, with alternative of Fischer Exact, with parameter of expected count of 5%. Significant relation expected in the study is 5%. The study found that there are no significant relation between history of hypertension with cognitive impairment in geriatric people in Sasana Tresna Werda RIA Pembangunan (p-value=0.098), but it is predicted that the group of geriatric people with history of hypertension has 27.7% more risk of getting cognitive impairment. However, the elderly group who have a history of hypertension has a proportion of 27.7% experiencing cognitive impairment.

Inguinal hernia is a condition of protrusion of all or part of an organ through the locus minoris in the abdominal wall. The incidence of inguinal hernia is quite high, in the world there are approximately 20 million hernia repairs done every year. Hernia repair surgery is considered good if it does not experience recidivism, there are no complications, costs are not too expensive, and patients can immediately carry out their work routines. The incidence of residive hernia is influenced by many factors, including factors from the surgeon, namely the knowledge and skills of the surgeon, the selection of surgical techniques and meshes used, mesh fixation techniques, mesh size, lateral and medial hernia bag management, sliding hernias, lipomas in the inguinal canal, operating time, types of anesthesia, postoperative complications This study aims to determine the incidence of inguinal hernia and recidival inguinal hernia, Surgical techniques used and risk factors associated with recidivist inguinal hernia. This study used a cohort retrospective research design, sampling was carried out in total sampling on inguinal hernia patients who had undergone surgery in 10 government and private hospitals in North Aceh Regency and Lhokseumawe City as many as 1109 patients in the period 2018 to 2021. The results of this study found that the most hernia sufferers found in peripheral hospitals in Aceh were mostly under 60 years old with the most gender being men. The most common risk factors for inguinal hernia are people who are obese, have a history of heavy physical activity, have a history of chronic cough and have a history of constipation. Surgical techniques that are widely used in hernia management are surgical techniques using mesh graft and most patients with ingunal hernias do not experience recidivism.  

This research aims to examine the relationship between production costs and net profit, sales volume, operational costs and net profit, sales volume, as well as the relationship between net profit and sales volume. This research utilizes a quantitative approach using the Partial Least Square (PLS) method. The population in this research is the sales data at UD. Gajah Tempur, and the sample in this research adopts a non-probability sampling design with a saturated sample of 39 respondents. The analysis techniques employed in this research are descriptive analysis and inferential statistical analysis using the Partial Least Square (PLS) method. The results of the research indicate that production costs have a positive but insignificant influence on net profit. Production costs also have a positive influence on sales volume. Meanwhile, operational costs have a positive but insignificant influence on net profit, but they have a positive influence on sales volume. Furthermore, net profit has a positive but insignificant influence on sales volume.

This study aims to determine the effect of extroverted and introverted personalities on speaking skills. This type of research is a quantitative research with a survey method (expo facto), with a comparative causal design. The objects in this study were students of the Indonesian language and literature education study program. The total population is 238 students, the sample size is 15%, namely 36 students. Accidental sampling technique. The results showed that there were 55.6% or 20 students with introverted personalities and 44.4% or 16 students with extroverted personalities. The results of the mean scores of students' speaking skills show that students with introverted personalities have better speaking skills scores than students who have extroverted personalities. The mean score of students with introverted personalities is 15.65 while the average score of students with extroverted personalities is 13.25. From the results of hypothesis testing with a one-way ANOVA test, the value of Fcount is 1.655, Ftable 4.13, a significance level of 0.05, so Fcount <Ftable, it is stated that Ha is rejected and Ho is accepted. Based on the results of the above study, it was concluded that there was no influence between extroverted and introverted personality types on students' speaking skills.  

Background: One of the non-pharmacological intervention techniques that can be used is the guided imagery relaxation technique. When doing Guided Imagery Relaxation it produces endorphins. Endohrpin is a neurohormone associated with pleasant sensations so it is expected to lower blood pressure. This study aims to determine the effect of Guided Imagery Relaxation on reducing blood pressure in hypertensive patients. Method: This type of research is Quasy Experiment with a one group pretest posttest design. The sampling technique used purposive sampling with the population that will be taken in this study is the community of the Cikalongkulon Cianjur Health Center in people with hypertension aged 45-70 years who do not experience complications and do not regularly take hypertension medication. The number of samples is 16 respondents. Statistical analysis using the Wilcoxon Signed Rank T-Test. Results: From the results of the Wilcoxon Signed Rank T-Test analysis, it shows that there is a significant effect between Guided Imagery Relaxation and a decrease in blood pressure in the Working Area of ​​the Cikalongkulon Health Center, Cianjur p-value 0.002 (<0.05). Conclusion: From this study it shows that there is an effect of guided imagery relaxation on reducing blood pressure in the Working Area of ​​the Cikalongkulon Health Center.

Introduction : Pain in labor is pain due to uterine contractions which can lead to increased activity of the sympathetic nervous system, changes in blood pressure, heart rate, breathing, and if not treated it will increase feelings of worry, tension, fear and stress. Warm and cold water compress therapy is a non-pharmacological method to meet the need for comfort and to treat pain. Objective : to determine the effectiveness of giving warm and cold compresses to reduce pain in active phase 1 infartu mothers at RSIA Siti Khadidjah Aisyiyah, Gorontalo city. Research Methods : One group of subjects will be used in this study with a pre-experimental research design with a one-group pre-post test strategy to determine cause and effect. Before the intervention, the subject group was monitored, and then after the intervention. Mothers who were in the early phase of the active phase of physiological labor in the VK room of RSIA Siti Khadijah Aisyiyah, Gorontalo City, were used as research subjects. Research Results : The results of this study found acute pain in the four patients, it was found that 2 patients were given warm water compresses, the pain level decreased to a pain scale of 4 (moderate) and in the administration of cold water compresses to 2 patients, the pain level decreased to a pain scale of 6 and 5 (currently). Conclusion : the conclusion of this study is seen from the level of pain that has decreased when given warm water or cold water compresses. Hot and cold compress therapy is a non-pharmacological method to treat pain.

Introduction: A woman experiences pregnancy, which lasts from the moment of conception (fertilization) until the baby is born. This process produces physical, psychological, environmental, socio-cultural, and economic changes that affect the body, mind, and society. Pregnant women often experience nausea and vomiting (Emesis Gravidarum), especially in the first trimester of pregnancy.Objective : To determine the effect of giving lavender aromatherapy in reducing the frequency of nausea and vomiting before and after being given lavender aromatherapy to pregnant women in the first trimester. Research Method: This pre-experimental research design used a responsive pre-post test because it only involved one group of subjects. The subject's body was detected before the intervention was carried out, then detected again after the intervention was carried out. The subjects used in this study were pregnant women who experienced hyperemesis gravidarum in the first trimester of pregnancy. Results: It is known that Clients 1 and 2 experience nausea and vomiting more often than four times a day before receiving lavender aromatherapy. For Client 1, the frequency of nausea and vomiting was found to decrease after receiving lavender aromatherapy for three consecutive days, and the client did not experience nausea or vomiting at all. For Client 2 there was no change in giving lavender aromatherapy because the client continued to experience nausea and vomiting with a frequency of about 2 times per day. Conclusion: the overall evaluation results showed that one of the clients used non-pharmacological techniques and received lavender aromatherapy which caused a decrease in nausea, while the other clients who received lavender aromatherapy continued to experience nausea and vomiting. about twice a day vomiting.

Introduction : Central Line Associated Blood Stream Infection (CLABSI) or phlebitis is defined by the CDC as a bloodstream infection confirmed by laboratory results that occurs within 48 hours before developing into bacteremia, and is not associated with infection in other parts. Some research results conclude that several factors influence the occurrence of phlebitis, one of which is the selection of the insertion site. Purpose: to determine the effect of the insertion location of the infusion on the incidence of phlebitis. Design: Literature review method using Google Scholar and the Portal Garuda as database  (2018-2022). Method : keywords "location of infusion and phlebitis incident". Results: From 14 reviewed articles, it was found that the incidence of phlebitis due to insertion site factors was influenced by the selection of the vein, the distance between the infusion site and the joint and the selection of the dominant extremity (which is often used for activities). Conclusion: Infusion is done by selecting a good vein, choose a vein that is far from the joint (minimum > 3.5 cm distance from the joint), Avoid choosing a vein in the location or extremity dominant to minimize the movement of the intravenous catheter when the patient moves.

Factors Associated with Completeness of Basic Immunization for Infants at Ulee Kareng Health Center. Basic immunization is a program carried out to protect a person's body from diseases that can be prevented by immunization (PD3I) caused by viruses or bacteria, including tuberculosis, polio, diphtheria, pertussis, tetanus, hepatitis B, flu, measles and rubella. Based on data from the Directorate General of Disease Prevention and Management, the Indonesian Ministry of Health in 2018, ranks of Aceh Province are the lowest in basic immunization coverage, which is 70%. This study aims to determine the factors associated with completeness of immunization in infants with quantitative analytical methods with a cross sectional design approach (Cut Latitude). The study was conducted in March-July 2021 and obtained as many as 62 samples with the sampling method by accidental sampling. The results of this study indicate that there is a relationship between mother's knowledge and completeness of infant basic immunization with a p-value of 0.000, there is a relationship between mother's education and completeness of infant basic immunization with p-value of 0.000001, there is a relationship between mother's employment status and completeness of infant basic immunization p-value 0.003, and there is a relationship between family support and completeness of basic infant immunization with a p-value of 0.000. The distance to the place of immunization service does not have a relationship with the completeness of infant immunization with a p-value of 0.054. The efforts of the puskesmas in achieving immunization completeness were scored well by conducting an assessment of planning, implementation and assessment activities using a questionnaire containing 5 questions on planning, 5 questions on implementation and 5 questions on assessment. Based on the results of this study, it can be concluded that the level of knowledge, education, employment status, and family support has a relationship with the status of completeness of infant immunization. The distance to the place of immunization service does not have a relationship with the infant's immunization status. The researcher's suggestion is to do research with a larger sample and add various other variables that have a relationship with the infant's immunization status.  

Installing a sign system as a boundary marker between hamlets is one of the development efforts undertaken to improve the existing infrastructure in Sambirejo Village. It aims to direct visitors and provide information about the areas they enter, where each hamlet has its own tours and even MSME. The method of implementing the community service activity program carried out in the KKN-T MBKM UPN "Veteran" East Java activities is to use a qualitative descriptive approach because it describes the phenomena that occur in depth, and describes the responses without testing the hypothesis. This activity starts from conducting a field survey by looking for a location where the sign system will be installed. Followed by the planning and design, manufacture, and installation of sign systems. The government is expected to continue its commitment to improve infrastructure development, as having reliable infrastructure is essential to support infrastructure development and business growth.

This Community Service aims to provide learning media training using the Quizizz application on reading comprehension. Reading comprehension lessons are often a problem in English subjects, because in addition to having to read the text students also have to understand the reading text. To make it easier for students to understand the content contained in the reading text easily, Media is needed so that they have a high enthusiasm for learning in doing and understanding the English lesson questions. The subjects in this service are class XI science students totaling 18 students. This service implementation activity uses the audience center method, namely by providing interactive training and mentoring. The implementation of training on the use of the Quizizz application is designed in several stages, namely: planning, implementation, follow-up, and evaluation. The result obtained from this service activity is that students can use the Quizizz application as a learning medium in reading comprehension material.  

The KALIMASADA (Population Administration Aware Community Neighborhood Area) program aims to make the public aware of the importance of population administration in their daily lives, with a focus on having complete and accurate population documents such as KTP, KK, and birth certificates.In line with this goal, a study was conducted by UPN Veterans East Java students through the Ministry of Education and Culture's MBKM Internship. This study aims to analyze the impact and awareness of the community regarding population administration through the Kalimasada Program in Gunung Anyar Village. This program is designed to increase public awareness about the importance of population administration and having complete population documents. The data collection method used in this study was the collection of KK (Family Cards) data directly on the people involved in the Kalimasada Program. The results showed that the Kalimasada Program in Gunung Anyar Village had a positive impact on public awareness regarding population administration. Through socialization activities, assistance, and population administration services provided by this program, people are becoming more aware of the importance of having complete population documents, such as National Identity Cards (KTP), Family Cards (KK), and birth certificates  

Childbirth is a series of events when a baby is released from the mother's womb, followed by the release of the placenta and fetal membranes from the mother's body (Fitriana and Nurwiyandani, 2018). Experimental research method with a design that is Control group pre test-Post test. The population in this study were all primigravid postpartum patients without complications during the first active phase in the working area of ​​the Halilulik Health Center, Naitimu Village, West Tasifeto District, East Nusa Tenggara, Using a purposive sampling technique, a sample of 16 people was obtained with a distribution of 8 people for the back rubbing massage treatment using the Power Massager (group 1) and 8 people for the back rubbing massage treatment using the hands (group 2). The results showed that the back rubbing massage treatment using a power massager obtained an average decrease in pain of 2.375, while the treatment of back rubbing massage using hands obtained an average decrease in pain of 1.250, obtained P count of 0.0013 P <0.05, So it can be concluded that back rubbing massage using a power massager is more effective than using hands in reducing pain in primigravida in parturient patients in the active phase 1. In conclusion, back rubbing massage using a power massager is more effective in reducing pain in primigravid patients in labor in the first active phase.

Background: Visceral fat is fat that is stored in the adipose tissue of the abdominal region. The accumulation of high amounts of visceral fat causes central obesity and the occurrence of metabolic syndrome which is a risk for degenerative diseases. Banten Province shows that the prevalence of obesity in 2018 is 22.5% and in 2020 it is 25.2%. Risk factors that cause obesity, especially in the workplace, are lack of physical activity, unhealthy eating patterns, and unhealthy lifestyles. Objective: to determine the relationship between glycemic load, physical activity, and work stress with visceral fat. Methods: The research was carried out in the Office of Manpower and Transmigration of Banten Province, from August 2021 to August 2022. This type of research is quantitative research which is an analytic survey using a cross-sectional research design with a research sample of 76 respondents. Data analysis used the Chi-Square test. Results: There was a relationship between glycemic load and visceral fat (p=0.000), there was a relationship between physical activity and visceral fat (p=0.002), and there was no relationship between work stress and visceral fat (p=0.137). This is because respondents still consume sufficient carbohydrate food on weekdays and holidays and respondents tend to do less physical activity which causes fat accumulation in the body.Conclusion: There is a significant relationship between glycemic load and physical activity to the formation of visceral fat.

Penelitian ini bertujuan untuk menghasilkan produk berupa buku penuntun praktikum kimia berbasis lingkungan pada materi asam basa. Penelitian pengembangan dengan menggunakan model ADDIE yaitu Analyze, Design, Development, Implementation, dan Evaluation. Validasi dilakukan oleh validator produk, respon guru dan observer keterlaksanaan. Uji coba dilakukan terhadap 20 peserta didik. Berdasarkan analisis data dapat diambil kesimpulan bahwa penuntun praktikum kimia berbasis lingkungan dinyatakan valid oleh validator produk (rerata 83%), dinyatakan sangat praktis dilihat dari hasil respon guru (rerata 94%) dan dilihat dari observer keterlaksanaan (83%). Keefektifan dilihat berdasarkan hasil post-test (rerata 75%) dan angket respon peserta didik (rerata 87%). Buku penuntun praktikum kimia dinyatakan valid, praktis dan efektif untuk digunakan.

The Surabaya City Population and Civil Registry Office partners with the Ministry of Education, Culture, Research and Technology in the MSIB Batch 4 program. This activity is designed for students who want to assist the Surabaya City Government in providing Population Administration services at the Population and Civil Registration Service, by going directly as a form of service to public. In MSIB activities with the Surabaya City Population and Civil Registration Service, students participate in the population administration service process through the Klampid New Generation Application. During the internship, students get 1 KNG account to help sub-district staff process population administration requests for residents of Genting Kalianak. Through this MSIB program, the author as an apprentice student hopes to be able to show a real contribution to his work in socializing the Kalimasada program to the Genting Kalianak sub-district community to create an orderly population administration society.

This Study aims to design interactive learning media in indonesian subjects, especially theme 2 sub-theme 4 lesson 5. Based on the identified students, that there are still students who are still not able to read and write fluently. This is due to factors from within the students themeselves such as the willingness and ability of the child. This type of research is a research and development research and development (R&D) method. This study uses six stages: (1) Potential and problems, (2) gathering information, (3) product design, (4) design validation, (5) design revision, (6) product trial, (7) product revision. Validation was carried out by media experts (lecturers) and material experts (teachers). The subjects of the research trial consisted of grade 1 students at SDN Leyangan. The trial was conducted by 5 students. Data collected by interviews, documentation, and questionnaires (questionnaires). The data are the results of an assessment of product quality and suggestions for revising the product, which are then analyzed descriptively.                 The results showed that interactive learning media for Indonesian thematic subjects as a media tool designed to be suitable for use in learning theme 2 sub-theme 4 lesson 5 class 1 SDN Leyangan. This is shown by (1) the assessment of the media expert (lecturer) included in the very good criteria with a score of 37, (2) the assessment of the material expert (teacher) included in the very good criteria with a score of 36, and (3) in the trial use included in the very good criteria with a score of 36.  

The traditional market is a reflection of the application of a very basic populist economy. Where buying and selling transactions are carried out by the community mostly independently by managing available resources, which include the livestock sector, agriculture, crafts, food, services, and so on. At the Liluwo traditional market there are many sellers of various kinds of needs, ranging from basic household needs, clothing, prepared food and raw materials such as fish and vegetables, to hair cutting services. The facilities at the Liluwo traditional  market are toilets, parking lots, prayer rooms. From the results of observations of researchers in the field, there has not been found a good sign system that helps make it easier for visitors. Some visitors, especially new prospective buyers, experience problems in finding a way/place to sell certain materials. From the problems mentioned above, the researchers plan to design a good sign system for the Liluwo traditional market to make it easier for buyers and sellers to carry out buying and selling activities. Apart from that, with a good sign system, the identity of the Liluwo traditional market will increase and can become an attraction in the eyes of the public.

This study aims to design and produce Student Worksheets (LKPD) based on the Student Teams Achievement Division (STAD) on class XI human respiratory system material. This type of research is Research and Development (Reasearch & Development) with the ADDIE model (Analysis, Design, Development, Implementation and Evaluation). The subjects of this study were 2 material expert validator lecturers and 2 learning expert validator lecturers, the assessment of 1 biology teacher, and the responses of class XI MIPA-3 students of SMAN 1 Labuhan Deli T.A. 2022/2023. Data analysis used quantitative and qualitative descriptive analysis. The results showed that the development of STAD-based LKPD obtained validation results by material experts of 96.88% in the "very feasible" category, validation by learning experts of 90.13% in the "very feasible" category, assessment by biology teachers of 93.42 % in the "very feasible" category, the student response was 94.96% in the "very feasible" category, and the results of the effectiveness test obtained an N-gain score of 0.72 which was included in the "high" category and was considered effective in being used in the learning process biology in the material of the human respiratory system.

Background: Self-efficacy is the perception of the ability to consider and implement behavior patterns as self-regulation that is obtained through motivation and determining achievement of expectations. Good self-efficacy is needed not only for healthy people but also for sick people, especially people with chronic illnesses. Decreased self-efficacy can occur in people with chronic illnesses. We know that people with chronic diseases have long treatment programs, even for a lifetime, such as taking medication and sometimes this feels boring or boring. Consuming drugs or running a continuous treatment program can lead to boredom so that it is possible to want to stop taking medication. This is the background for wanting to know what actions can be taken to increase self-efficacy in people with chronic diseases. Self-efficacy increases if there is effort in dealing with existing obstacles. Interventions can be provided by health workers in increasing self-efficacy in people with chronic diseases. Objective: This study aims to describe the effect of Beapreasi therapy on self-efficacy in patients with chronic diseases at the Bergas Health Center, Semarang Regency. Methods: The research design used was descriptive and was carried out on 6 respondents, all of whom became the experimental group or all of whom became respondents. The method used to determine respondents is a purposive sampling technique. All respondents were assessed for self-efficacy using a self-efficacy scale questionnaire which was measured 2 times, namely before and after being given Beapreasi therapy. Results: The study showed that the mean value of the self-efficacy scale in the experimental group before the intervention was 81.79 and the value of the efficacy scale in the experimental group after the intervention was 89.36. this shows that there is an increase in the value on the self-efficacy scale and there is a difference in the mean value on the self-efficacy scale in the experimental group before giving the intervention with after giving the intervention with a p value of 0.00, p value <0.05 so that there is a significant/significant effect of giving reward therapy on improvement self-efficacy. Conclusion: Beapreasi therapeutic intervention can be used to maintain self-efficacy or increase self-efficacy in patients with chronic diseases, with the hope that patients will remain enthusiastic in carrying out their care and life. Beapreasi therapy can be used as a nurse's independent intervention in accompanying the care of patients with chronic diseases who require lifelong treatment and this is in an effort to increase self-efficacy in sufferers of chronic diseases.